手机短信随访在2型糖尿病患者认知行为管理中的作用

目的探讨手机短信随访对糖尿病患者认知行为干预管理的作用,为糖尿病的治疗提供依据。方法 120例2型糖尿病患者随机分为手机短信随访组（短信组）62例与门诊常规随访组（对照组）58例。短信组由参与研究的医生或护士对其短信随访,1次/周;对照组门诊常规随访,1次/4周,各持续12周,比较干预前后糖化血红蛋白（HbA1C）、血糖及糖尿病认知行为的变化。结果随访12周后,短信组HbA1C下降至7.0%±0.8%,对照组下降至7.8%±1.3%,差异有统计学意义（P〈0.05）;短信组干预后空腹血糖、餐后2 h血糖分别为（6.5±1.8）、（8.3±2.4）mmol/L,对照组分别为（7.6±2.1）、（9.8±2.9）mmol/L,短信组明显优于对照组,差异均有统计学意义（P〈0.01）。短信组的糖尿病知识、心理状态、治疗满意度得分均优于对照组,差异有统计学意义（P〈0.05）;短信组与对照组相比,每周运动量增加[分别为（4.6±1.3）、（3.8±1.9）h],每日吸烟量减少[分别为（8.0±4.7）、（10.0±5.4）支],差异均有统计学意义（P〈0.05）。结论对糖尿病患者进行手机短信随访管理,在促使血糖及HbA1C达标的同时,可提高糖尿病患者的知识水平,促进行为改变,提高自我管理能力和治疗满意度。

The effect of short message service follow-up on recognitive behavior management in patients with type 2 diabetes mellitus

Objective To explore the effect of short message service （SMS） follow-up on recognitive behavior management in type 2 diabetes mellitus （T2DM） patients and to provide the basis for treatment of T2DM. Methods A total of 120 T2DM follow- up patients were randomly divided into the SMS group （62 cases） and the regular outpatient group （control group, 58 cases）. The SMS group patients were followed up by a SMS each week, the control group was routinely follow-up once for 4 weeks. After 12 weeks, the changes of HbAIC, blood glucose and recognitive behavior were evaluated. Results After following up for 12 weeks, HbAIC levels in SMS group and control group decreased by 7.0%±0.8% and 7.8%±1.3%, respectively （P〈0.05）; fasting plasma glucose （FPG） and blood glucose level at 2 hour postprandial （2 h PG） in SMS group were （6.5±1.8） and （8.3±2.4） retool/L, which were significantly lower than those [（7.6±2.1 ） and （9.842.9） mmol/L, respectively] in control group （P〈0.05）. The scores of diabetes knowledge, psychological condition and treatment satisfaction in SMS group were significantly higher than those in control group （P〈0.05）; the increase levels of exercise per week in SMS and control groups were （4.6±1.3） h and （3.8±1.9） h, respectively, the smoking decrease levels in SMS and control group were 8.0±4.7 and 10±5.4 a day, there were significant differences （P〈 0.05 ）. Conclusion Management of diabetes patients by SMS can improve not only blood glucose and HbAIC levels but also the levels of recognitive behavior, self-management skills and treatment satisfaction in patients with T2DM.